Individual provider · Type 1 NPI

Mary Ellen Dickinson, C-PNP

Pediatric Nurse Practitioner · Brockton, MA

NPI number 1356334429 Active

Practice location

370 Oak St, Suite A
Brockton, MA 02301-1341

Call (508) 584-1234 Map

Fax (508) 584-0230

Mailing address

91 Upland Rd
Plympton, MA 02367-1602

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X216258 (MA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1356334429

Mary Ellen Dickinson, C-PNP's National Provider Identifier is 1356334429, issued on Aug 24, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Brockton, MA. The record was last updated on Jul 13, 2026.